Medical school: OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 2002
NPI: 1720188493
Practice Locations (1)
NORMAN REGIONAL PROVIDERS SPECIALTY CARE
3400 W TECUMSEH RD, 205 CARE FOR WOMEN NORMAN
NORMAN, OK 730721811
4057932229
Source: CMS National Downloadable File, September 2026.